Int J Surg:局麻下使用FSL可安全有效的治疗静脉曲张

2017-05-09 MedSci MedSci原创

本研究旨在通过前瞻性研究评估门诊中在局麻下使用泡沫硬化剂注射联合结扎(FSL)治疗静脉曲张的安全性。 研究共纳入了136例不愿意住院接受FSL治疗的下肢静脉曲张患者。FSL是一种将扩张的静脉经皮下注射泡沫硬化剂后使用可吸收缝合线结扎的治疗方法。FSL治疗后第1、3、6和12个月时患者复诊。疼痛评分在FSL。使用修订后的临床严重程度得分(rVCSS)和临床、病因、解剖、及病理分类(CEAP)来

本研究旨在通过前瞻性研究评估门诊中在局麻下使用泡沫硬化剂注射联合结扎(FSL)治疗静脉曲张的安全性。

研究共纳入了136例不愿意住院接受FSL治疗的下肢静脉曲张患者。FSL是一种将扩张的静脉经皮下注射泡沫硬化剂后使用可吸收缝合线结扎的治疗方法。FSL治疗后第1、3、6和12个月时患者复诊。疼痛评分在FSL。使用修订后的临床严重程度得分(rVCSS)和临床、病因、解剖、及病理分类(CEAP)来评估治疗后3个月患者病情的改善情况。

所纳入的136名患者共有146个下肢出现静脉曲张接受FSL治疗。FSL治疗3个月后疼痛评分以及CEAP分级评分下降,rVCSS值也得到改善。术后随访无明显并发症发生。

总而言之,该研究发现静脉曲张患者局麻下FSL是可行的、安全且容易的。

原始出处:

Sun Y, Li X, et al., Feasibility and safety of foam sclerotherapy followed by a multiple subcutaneously interrupt ligation under local anaesthesia for outpatients with varicose veins. Int J Surg. 2017 Apr 15;42:49-53. doi: 10.1016/j.ijsu.2017.04.023.

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    2018-04-09 fusion
  4. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdF0877pC99vPRprriajR4ibkYTPCicjUDXb7rJ9Tdics1GLfvxP3AJZwkMep6F8D2JhvYgwEt76ibNEZWuLofnXQbsw/0, createdBy=36212055804, createdName=骨科小医生, createdTime=Thu May 11 00:03:51 CST 2017, time=2017-05-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196322, encodeId=df6b1963223a, content=这是种好办法!, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Wed May 10 22:04:18 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196184, encodeId=afe21961845d, content=临床推广之前,有待进一步研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, 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objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Wed May 10 08:35:42 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196115, encodeId=2ce3196115e3, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/PiajxSqBRaEJicFGXtYqfjGiaibNdjOiaRgkexnXiciaDeXaLiaKicovcicDugdYwRPSnQj3FlfXBwVLB5ANB9PGFyB0kraQ/0, createdBy=35b01663265, createdName=1ddf3e1dm99(暂无匿称), createdTime=Wed May 10 08:03:54 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196061, encodeId=c9b91960614a, content=学习了,不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Wed May 10 07:01:26 CST 2017, time=2017-05-10, status=1, ipAttribution=)]
    2017-05-11 骨科小医生

    原来局麻也可以

    0

  5. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdF0877pC99vPRprriajR4ibkYTPCicjUDXb7rJ9Tdics1GLfvxP3AJZwkMep6F8D2JhvYgwEt76ibNEZWuLofnXQbsw/0, createdBy=36212055804, createdName=骨科小医生, createdTime=Thu May 11 00:03:51 CST 2017, time=2017-05-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196322, encodeId=df6b1963223a, content=这是种好办法!, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Wed May 10 22:04:18 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196184, encodeId=afe21961845d, content=临床推广之前,有待进一步研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, 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GetPortalCommentsPageByObjectIdResponse(id=196061, encodeId=c9b91960614a, content=学习了,不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Wed May 10 07:01:26 CST 2017, time=2017-05-10, status=1, ipAttribution=)]
    2017-05-10 thlabcde

    这是种好办法!

    0

  6. 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GetPortalCommentsPageByObjectIdResponse(id=196061, encodeId=c9b91960614a, content=学习了,不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Wed May 10 07:01:26 CST 2017, time=2017-05-10, status=1, ipAttribution=)]
    2017-05-10 Eradicate

    临床推广之前,有待进一步研究

    0

  7. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdF0877pC99vPRprriajR4ibkYTPCicjUDXb7rJ9Tdics1GLfvxP3AJZwkMep6F8D2JhvYgwEt76ibNEZWuLofnXQbsw/0, createdBy=36212055804, createdName=骨科小医生, createdTime=Thu May 11 00:03:51 CST 2017, time=2017-05-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196322, encodeId=df6b1963223a, content=这是种好办法!, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Wed May 10 22:04:18 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196184, encodeId=afe21961845d, content=临床推广之前,有待进一步研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/zJdmw9z0bAJicicnfs2fZyxljU8Gu8pl9bj0Tnv3o24WZudbEGOhTp1HjFFP8abUo61vTBcdX7gLeka0Yy0wPWhg/132, createdBy=72421968032, createdName=Eradicate, createdTime=Wed May 10 10:24:30 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196161, encodeId=b38d196161d2, content=谢谢,感谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Wed May 10 09:21:45 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196125, encodeId=8338196125eb, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Wed May 10 08:35:42 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196115, encodeId=2ce3196115e3, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/PiajxSqBRaEJicFGXtYqfjGiaibNdjOiaRgkexnXiciaDeXaLiaKicovcicDugdYwRPSnQj3FlfXBwVLB5ANB9PGFyB0kraQ/0, createdBy=35b01663265, createdName=1ddf3e1dm99(暂无匿称), createdTime=Wed May 10 08:03:54 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196061, encodeId=c9b91960614a, content=学习了,不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Wed May 10 07:01:26 CST 2017, time=2017-05-10, status=1, ipAttribution=)]
    2017-05-10 执着追梦

    谢谢,感谢分享!

    0

  8. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdF0877pC99vPRprriajR4ibkYTPCicjUDXb7rJ9Tdics1GLfvxP3AJZwkMep6F8D2JhvYgwEt76ibNEZWuLofnXQbsw/0, createdBy=36212055804, createdName=骨科小医生, createdTime=Thu May 11 00:03:51 CST 2017, time=2017-05-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196322, encodeId=df6b1963223a, content=这是种好办法!, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Wed May 10 22:04:18 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196184, encodeId=afe21961845d, content=临床推广之前,有待进一步研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, 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objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Wed May 10 08:35:42 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196115, encodeId=2ce3196115e3, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/PiajxSqBRaEJicFGXtYqfjGiaibNdjOiaRgkexnXiciaDeXaLiaKicovcicDugdYwRPSnQj3FlfXBwVLB5ANB9PGFyB0kraQ/0, createdBy=35b01663265, createdName=1ddf3e1dm99(暂无匿称), createdTime=Wed May 10 08:03:54 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196061, encodeId=c9b91960614a, content=学习了,不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Wed May 10 07:01:26 CST 2017, time=2017-05-10, status=1, ipAttribution=)]
    2017-05-10 明月清辉

    谢谢分享,学习了

    0

  9. 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    2017-05-10 1ddf3e1dm99(暂无匿称)

    学习了谢谢分享

    0

  10. 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    2017-05-10 daiyaozu

    学习了,不错

    0

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